Strength After Elbow Fractures in the Elderly

Recruiting

• Conditions: Fracture;Elbow
• Interventions: Other: Patient Reported Outcomes; Other: Strength Test

• Registration Number: NCT05135949
• Lead Sponsor: Fraser Orthopaedic Research Society

Brief Summary

Elderly patients strength and function, specifically the ability to rise from a seat after either operative or non operative treatment of an mayo type 2 olecranon fracture.

Detailed Description

Elderly patients with an olecranon fracture will receive appropriate treatment as determined by the treating surgeon. Patients will then be assessed at 6 weeks, 6 months and 12 months post treatment. Assessments include, range of motion, patient reported outcomes and a strength test.

Study Timeline

• Study Start: 2021-02-22
• Study First Submitted: 2021-11-04
• Study First Submitted QC: 2021-11-16
• Study First Posted: 2021-11-26
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-26
• Last Update Posted: 2025-02-27
• Primary Completion: 2027-02-01
• Study Completion: 2027-07-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

1. ≥65 years of age
2. Mayo type II olecranon fracture
3. Ambulatory (with or without the use of walking aides)

Exclusion Criteria

1. Additional injuries to the affected arm or contralateral arm
2. Associated nerve injury
3. Dementia or cognitive impairment that inhibits the collection of outcome measures
4. Likely problems, in the judgement of the investigator, with maintaining follow-up (i.e. patients with no fixed address, not mentally competent to give consent, intellectually challenged, patients without adequate support, etc.)
5. Injury or previous deficit to the contralateral arm
6. Currently enrolled in any other research study involving drugs or medical devices
7. Open fractures
8. Inability to provide informed consent

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Operative	Strength Test	Internal fixation of the displaced olecranon fracture.
Non Operative	Patient Reported Outcomes	Conservative treatment as determined by the treating surgeon.
Operative	Patient Reported Outcomes	Internal fixation of the displaced olecranon fracture.
Non Operative	Strength Test	Conservative treatment as determined by the treating surgeon.

Primary Outcome Measures

Name	Time	Method
Extension Strength	12 Months	Patients will push down on their distal forearm through a hand held dynamometer, to measure tricep extension strength

Secondary Outcome Measures

Name	Time	Method
Satisfaction Score	6 weeks, 6 months and 12 months	Soccer out of 10, higher the score the better the outcome
Arc of Motion	12 months	Elbow extension and elbow flexion measured with a goniometer
Mayo Elbow Performance Index	12 Months	An instrument used to test the limitations, caused by pathology, of the elbow during activities of daily living. Higher scores indicate a better outcome.
Disabilities of the Arm, Shoulder, and Hand	12 Months	A 30 Item questionnaire that measures an individuals' ability to complete tasks, absorb forces and severity of symptoms. Lower scores will indicated better outcomes.Lower scores will indicate better outcomes.

Trial Locations

Locations (1)

Royal Columbian Hospital; 🇨🇦 New Westminster, British Columbia, Canada